Amniotic tissue wound graft, per square centimeter at Fairview Health Services

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Amnioband, guardian 1 sq cm

Edina, MN

See all hospitals reporting HCPCS Q4151 →

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Pricing by billing methodology

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How this price compares nationally

Fairview Health Services’s median price of $175 is 9% below the median hospital's median price ($192), higher than 45% of the 1,308 hospitals reporting HCPCS Q4151. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4151 at Fairview Health Services

Negotiated rates from the hospital’s own file: 3 payers, 21 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	Bcbs Mn pmap fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
2	Bcbs Mn aware federal fee schedule · both	$133	$133	—	—	—	$133 – $133
3	Bcbs Mn aware/blue plus fee schedule · both	$135	$135	—	—	—	$135 – $135
4	Bcbs Mn aware federal fee schedule · outpatient	$151	$151	—	—	—	$151 – $151
5	Medica medicare advantage non-snp fee schedule · both	$152	$152	—	—	—	$152 – $152
6	Bcbs Mn aware/blue plus fee schedule · outpatient	$154	$154	—	—	—	$154 – $154
7	Medica msho/medicare advantage snp fee schedule · both	$155	$155	—	—	—	$155 – $155
8	Medica managed medicaid/accessability fee schedule · outpatient	$163	$163	—	—	—	$163 – $163
9	Medica msho/medicare advantage snp fee schedule · outpatient	$177	$177	—	—	—	$177 – $177
10	UnitedHealthcare commercial fee schedule · both	$193	$193	—	—	—	$193 – $193
11	UnitedHealthcare core fee schedule · both	$193	$193	—	—	—	$193 – $193
12	Medica bold fee schedule · both	$251	$251	—	—	—	$251 – $251
13	Medica vantage self insured fee schedule · both	$271	$271	—	—	—	$271 – $271
14	Medica city of st. paul/essential-uplan fee schedule · both	$278	$278	—	—	—	$278 – $278
15	Medica individual and family business except aco fee schedule · both	$278	$278	—	—	—	$278 – $278
16	Medica choice fee schedule · both	$288	$288	—	—	—	$288 – $288
17	Medica bold fee schedule · outpatient	$303	$303	—	—	—	$303 – $303
18	Medica city of st. paul/essential-uplan fee schedule · outpatient	$313	$313	—	—	—	$313 – $313
19	Medica vantage self insured fee schedule · outpatient	$329	$329	—	—	—	$329 – $329
20	Medica individual and family business except aco fee schedule · outpatient	$336	$336	—	—	—	$336 – $336
21	Medica choice fee schedule · outpatient	$348	$348	—	—	—	$348 – $348

Last updated: Feb 6, 2026

Compare to other hospitals

See Amniotic tissue wound graft, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.